NPIMap

Organization Active NPI

Medley Pharmacy Inc.

Doing business as LTC Sinks Pharmacy Select LLC

  • Long Term Care Pharmacy
  • Rolla, MO
National Provider Identifier
1700435104
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MEDLEY PHARMACY INC.
Doing business as
LTC Sinks Pharmacy Select LLC
Practice address
935 Parkwood Dr
Rolla, MO 65401-4477
Phone
(573) 466-4468
Fax
(573) 202-6403
NPI assigned
Sep 9, 2019
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Local Health Missouri Inc
Title
Owner
Phone
(573) 885-0885

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

935 Parkwood Dr
Rolla, MO 65401-4477

Mailing address

PO Box 528
Cuba, MO 65453-0528
Phone (573) 885-0885

Other names 1

  • LTC Sinks Pharmacy Select LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Rolla

National Provider Directory

National Provider Directory
Tax ID family
Sinks Pharmacy 10041 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

1024 S Bishop Ave
Rolla, MO 65401
Phone (573) 308-4899

1100 S Bishop Ave
Ste B
Rolla, MO 65401
Phone (573) 308-4899

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1700435104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654530528",
            "telephone_number": "573-885-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 PARKWOOD DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014477",
            "telephone_number": "573-466-4468",
            "fax_number": "573-202-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLEY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MISSOURI INC",
        "authorized_official_first_name": "LOCAL HEALTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-885-0885"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rolla",
            "affiliation": "N",
            "address_1": "1100 S Bishop Ave Ste B",
            "city": "Rolla",
            "state": "MO",
            "country_code": "US",
            "postal_code": "654014434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LTC Sinks Pharmacy Select LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LTC Sinks Pharmacy Select LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.